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Implementing a working together model for Aboriginal patients with acute coronary syndrome: an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse working together to improve hospital care

Daws, Karen, Punch, Amanda, Winters, Michelle, Posenelli, Sonia, Willis, John, MacIsaac, Andrew, Rahman, Muhammad Aziz and Worrall-Carter, Linda 2014, Implementing a working together model for Aboriginal patients with acute coronary syndrome: an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse working together to improve hospital care, Australian health review, vol. 38, no. 5, pp. 552-556, doi: 10.1071/AH13211.

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Title Implementing a working together model for Aboriginal patients with acute coronary syndrome: an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse working together to improve hospital care
Author(s) Daws, Karen
Punch, Amanda
Winters, Michelle
Posenelli, Sonia
Willis, John
MacIsaac, Andrew
Rahman, Muhammad AzizORCID iD for Rahman, Muhammad Aziz orcid.org/0000-0003-1665-7966
Worrall-Carter, Linda
Journal name Australian health review
Volume number 38
Issue number 5
Start page 552
End page 556
Total pages 5
Publisher CSIRO Publishing
Place of publication Clayton, Vic.
Publication date 2014-11
ISSN 0156-5788
Keyword(s) Acute Coronary Syndrome
Cooperative Behavior
Hospital Administrators
Humans
Medical Audit
Models, Theoretical
Nurse Clinicians
Nursing Staff, Hospital
Oceanic Ancestry Group
Quality Improvement
Quality of Health Care
Retrospective Studies
Tertiary Care Centers
Victoria
Summary Acute coronary syndrome (ACS) contributes to the disparity in life expectancy between Aboriginal and non-Aboriginal Australians. Improving hospital care for Aboriginal patients has been identified as a means of addressing this disparity. This project developed and implemented a working together model of care, comprising an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse, providing care coordination specifically directed at improving attendance at cardiac rehabilitation services for Aboriginal Australians in a large metropolitan hospital in Melbourne. A quality improvement framework using a retrospective case notes audit evaluated Aboriginal patients' admissions to hospital and identified low attendance rates at cardiac rehabilitation services. A working together model of care coordination by an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse was implemented to improve cardiac rehabilitation attendance in Aboriginal patients admitted with ACS to the cardiac wards of the hospital. A retrospective medical records audit showed that there were 68 Aboriginal patients admitted to the cardiac wards with ACS from 1 July 2008 to 30 June 2011. A referral to cardiac rehabilitation was recorded for 42% of these. During the implementation of the model of care, 13 of 15 patients (86%) received a referral to cardiac rehabilitation and eight of the 13 (62%) attended. Implementation of the working together model demonstrated improved referral to and attendance at cardiac rehabilitation services, thereby, has potential to prevent complications and mortality.
WHAT IS KNOWN ABOUT THE TOPIC?: Aboriginal Australians experience disparities in access to recommended care for acute coronary syndrome. This may contribute to the life expectancy gap between Aboriginal and non-Aboriginal Australians.
WHAT DOES THIS PAPER ADD?: This paper describes a model of care involving an Aboriginal Hospital Liaisons Officer and a specialist cardiac nurse working together to improve hospital care and attendance at cardiac rehabilitation services for Aboriginal Australians with acute coronary syndrome.
WHAT ARE THE IMPLICATIONS FOR PRACTITIONERS?: The working together model of care could be implemented across mainstream health services where Aboriginal people attend for specialist care.
Language eng
DOI 10.1071/AH13211
Field of Research 111701 Aboriginal and Torres Strait Islander Health
1117 Public Health And Health Services
1605 Policy And Administration
1110 Nursing
Socio Economic Objective 920303 Aboriginal and Torres Strait Islander Health - Health System Performance
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, AHHA
Free to Read? Yes
Use Rights Creative Commons Attribution Non-Commercial No-Derivatives licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30083583

Document type: Journal Article
Collections: School of Medicine
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.